@layout("/common/_form.html",{js:["/assets/modular/system/wsjd/wsjd_add.js"],css:["/assets/expand/module/formSelects/formSelects-v4.css"]}){

<form class="layui-form" id="gcgWsjdForm" lay-filter="gcgWsjdForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="gcgWsjdId" type="hidden"/>

<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">所属项目<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="gcgProjectId" name="gcgProjectId" placeholder="请输入所属项目" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label"></label>-->
<!--                        <div class="layui-inline" style="display: inline-block">-->
<!--                            <select name="dizhiSheng" lay-filter="dizhiSheng" id="dizhiSheng"-->
<!--                                    lay-search="dizhiSheng">-->
<!--                                <option value="">全部省</option>-->
<!--                            </select>-->
<!--                        </div>-->
<!--                            <div class="layui-inline" style="display: inline-block">-->
<!--                                <select name="dizhiShi" lay-filter="dizhiShi" id="dizhiShi"-->
<!--                                        lay-search="dizhiShi">-->
<!--                                    <option value="">全部市</option>-->
<!--                                </select>-->
<!--                        </div>-->
<!--                            <div class="layui-inline" style="display: inline-block">-->
<!--                                <select name="dizhiXianqu" lay-filter="dizhiXianqu" id="dizhiXianqu"-->
<!--                                        lay-search="dizhiXianqu">-->
<!--                                    <option value="">全部区县</option>-->
<!--                                </select>-->
<!--                            </div>-->
<!--                    </div>-->


                    <div class="layui-inline layui-col-md9" style="width: 94.5%;">
                        <label class="layui-form-label">妖码<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="yaoma" name="yaoma" placeholder="请输入妖码" type="text" class="layui-input" lay-verify="required" autocomplete="off" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md9" style="width: 94.5%;">
                        <label class="layui-form-label">门店名称<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="wsjdDm" name="wsjdDm" placeholder="请输入门店名称" type="text" class="layui-input" lay-verify="required" autocomplete="off" required/>
                        </div>
                    </div>

                    <div class="layui-form-item">
                        <label class="layui-form-label">营运经理</label>
                        <div class="layui-inline" style="display: inline-block">
                            <select name="yyjl" lay-filter="yyjl" id="yyjl"  lay-search="yyjl">
                                <option value="">选择营运经理</option>
                            </select>
                        </div>
                    </div>
                    <div class="layui-form-item">
                        <label class="layui-form-label">督导</label>
                        <div class="layui-inline" style="display: inline-block">
                            <select name="dd" lay-filter="dd" id="dd"  lay-search="dd">
                                <option value="">选择督导</option>
                            </select>
                        </div>
                    </div>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">美团团购</label>
                        <div class="layui-input-block">
                            <input type="radio" name="mttg" value="0" title="未完成" checked/>
                            <input type="radio" name="mttg" value="1" title="已完成"/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">支付宝</label>
                        <div class="layui-input-block">
                            <input type="radio" name="zfb" value="0" title="未完成" checked/>
                            <input type="radio" name="zfb" value="1" title="已完成"/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">美团外卖</label>
                        <div class="layui-input-block">
                            <input type="radio" name="mt" value="0" title="未完成" checked/>
                            <input type="radio" name="mt" value="1" title="已完成"/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">饿了么</label>
                        <div class="layui-input-block">
                            <input type="radio" name="elm" value="0" title="未完成" checked/>
                            <input type="radio" name="elm" value="1" title="已完成"/>
                        </div>
                    </div>
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">地址(省)<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="dizhiSheng" name="dizhiSheng" placeholder="请输入地址(省)" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">地址(省)名称<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="dizhiShengView" name="dizhiShengView" placeholder="请输入地址(省)名称" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">地址(市)<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="dizhiShi" name="dizhiShi" placeholder="请输入地址(市)" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">地址(市)名称<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="dizhiShiView" name="dizhiShiView" placeholder="请输入地址(市)名称" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">地址(县区)<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="dizhiXianqu" name="dizhiXianqu" placeholder="请输入地址(县区)" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">地址(县区)名称<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="dizhiXianquView" name="dizhiXianquView" placeholder="请输入地址(县区)名称" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">详细地址<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="dizhiXiangxi" name="dizhiXiangxi" placeholder="请输入详细地址" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">对外门店名称(品牌)<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="pinpai" name="pinpai" placeholder="请输入对外门店名称(品牌)" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">公司归属<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="guishu" name="guishu" placeholder="请输入公司归属" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">门店电话<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="mdTel" name="mdTel" placeholder="请输入门店电话" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">门店联系人<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="lxrName" name="lxrName" placeholder="请输入门店联系人" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">门店联系人电话<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="lxrTel" name="lxrTel" placeholder="请输入门店联系人电话" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">接受门店手机号码<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="jsTel" name="jsTel" placeholder="请输入接受门店手机号码" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">菜系品类<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="pinlei" name="pinlei" placeholder="请输入菜系品类" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">门店营业时间<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="mdYysj" name="mdYysj" placeholder="请输入门店营业时间" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">是否有停车位,1->有,0->无<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="isTcw" name="isTcw" placeholder="请输入是否有停车位,1->有,0->无" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">停车位价格<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="tcwPrice" name="tcwPrice" placeholder="请输入停车位价格" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">人均价格<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="renjunPrice" name="renjunPrice" placeholder="请输入人均价格" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">法人<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="farenXingming" name="farenXingming" placeholder="请输入法人" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">银行卡开户人<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="yhkName" name="yhkName" placeholder="请输入银行卡开户人" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">银行卡卡号<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="yhkHao" name="yhkHao" placeholder="请输入银行卡卡号" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">是否支持开发票<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="isFapiao" name="isFapiao" placeholder="请输入是否支持开发票" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">是否申请优惠<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="isYouhui" name="isYouhui" placeholder="请输入是否申请优惠" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">法人身份证人像面<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="farenSfzPic1" name="farenSfzPic1" placeholder="请输入法人身份证人像面" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">法人身份证国徽面<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="farenSfzPic2" name="farenSfzPic2" placeholder="请输入法人身份证国徽面" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">法人手持身份证<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="farenSfzPic3" name="farenSfzPic3" placeholder="请输入法人手持身份证" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">店长身份证人像面<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="dzSfzPic1" name="dzSfzPic1" placeholder="请输入店长身份证人像面" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">店长身份证国徽面<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="dzSfzPic2" name="dzSfzPic2" placeholder="请输入店长身份证国徽面" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">店长手持身份证<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="dzSfzPic3" name="dzSfzPic3" placeholder="请输入店长手持身份证" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">营业执照<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="yingyeZhizhao" name="yingyeZhizhao" placeholder="请输入营业执照" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">食品经营许可证<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="shipinXkz" name="shipinXkz" placeholder="请输入食品经营许可证" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">支付宝授权函<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="zfbShouquan" name="zfbShouquan" placeholder="请输入支付宝授权函" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">门头照<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="mentouPics" name="mentouPics" placeholder="请输入门头照" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">内景照<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="neijingPics" name="neijingPics" placeholder="请输入内景照" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">审核状态,1->待审批，2->被驳回， 3->通过<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="shStatus" name="shStatus" placeholder="请输入审核状态,1->待审批，2->被驳回， 3->通过" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">网上建店银行卡id<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="gcgWsjdYinhangkaId" name="gcgWsjdYinhangkaId" placeholder="请输入网上建店银行卡id" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>

@}